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07/28/2011 04:46 9708247081 <br />PERMTTTE NAME: Cross Mountain Ranch Ltd. Partnership <br />PERMIT NUMBER: M- 1979 -102 <br />OPERATION NAME: Kagie Gravel Pit <br />ANNIVERSARY DATE: June 21, 201.1 <br />ANNUM., FEE DUE: $323 (Paid for 2011) <br />COUNTY: Routt <br />Routt County will continue gravel atio has o � � tbae the <br />prre year and o new Gravel <br />Pit, No new disturbance or reclam. <br />changes to the previous map are necessary at this time. <br />Permittee Contact Name: Stacy Quick <br />Permittee Name: Cross Mountain Ranch Ltd. Partnership <br />Address: F.O. Box 897 <br />Craig, Co 81626 -0897 <br />Phone Number: 970.824-2803 <br />Fax Number: 970.824 -7081 <br />gn.a urc of Officer/Owner <br />CROSS MOUNTAIN RANCH <br />ANNUAL REPORT <br />orporate Officer/ Owner Name <br />Date: July 27, 2011 <br />PAGE 02/02 <br />RECE1 FWD <br />JUL `8 an <br />Division oT r eciarnatian, <br />Mining and Safety <br />